CIBE Incentive Certificate by k7ww9kn

VIEWS: 6 PAGES: 7

									                                                        Florida Power & Light Company
                                                  Business Efficient Lighting Rebate Certificate
                                                     Form 848-L (Non-Stocked) Rev. November 2011
                  CMO Number:                                                                                                                                 Vendor Number:
                                $/KW H           $0.060         $/kwd      $10.00          Non-Negotiable Void After 120 Days From Date of FPL Pre-Approval
FPL Cu s to m er Ac c o u n t In fo r m atio n
FPL Account Number                                                                  Payee Tax ID (If Incorp.)


Customer/Facility Type                                                              Customer's Contractor Vendor Name


Name                                                      Phone Number              Customer's Contractor Vendor Tax I.D. No.                     Phone Number


Address                                                   Contact Person            Address                                                                       Contact Person


City                               State                  Zip Code                  City                                            State                         Zip Code



IMPORTANT INFORMATION, TERMS, DISCLAIMERS AND WAIVER REGARDING FLORIDA POWER & LIGHT COMPANY’S Business
Effecient Lighting: This program may offer a rebate to offset the costs of the improvement you have selected; you can learn more about this
program by going to www.FPL.com. As not all energy saving improvements are appropriate for every application, it is the respo nsibility of both
the Customer and its selected contractor to determine what products, if any, might be appropriate for the Customer’s specific situation and
location. FPL does not represent, warrant or guarantee that any particular energy saving improvement that is eligible for an incentive payment
is appropriate or will provide any particular amount of energy savings. In order for a Customer to be entitled to a rebate fr om FPL for a potential
energy saving improvement that has been selected by the Customer, the Customer must use a contractor that has been pre -approved by FPL
to participate in its program. FPL has pre-approved many different contractors to participate in its program from which the Cust omer can select
at the Customer’s sole discretion. These contractors are neither employed by FPL nor an agent of FPL nor under the control or supervision of
FPL but rather are independent contractors. The decision to select, hire and the management of these independent contractors is the sole
responsibility of the Customer. FPL is not a party to any agreement reached between the Customer and its selected independent contractor nor
is it involved in the negotiation of the terms of such agreement.
DISCLAIMER OF WARRANTIES: IN REFERENCE TO THE ENERGY SAVING IMPROVEMENT FOR WHICH CUSTOMER SEEKS A
REBATE,FPL DOES NOT MAKE AND EXPRESSLY DISCLAIMS ANY WARRANTIES, GUARANTEES, PROMISES OR COVENANTS,
WHETHER EXPRESSED OR IMPLIED, INCLUDING, WITHOUT LIMITATION, ANY IMPLIED WARRANTIES OF MERCHANTABILITY,
FITNESS FOR A PARTICULAR PURPOSE, THE SUITABILITY OR QUALITY OF THE MATERIALS OR EQUIPMENT INSTALLED BY THE
INDEPENDENT CONTRACTOR OR THE WORKMANSHIP OF THE INDEPENDENT CONTRACTOR SELECTED BY A CUSTOMER.
Should the Customer have any issue regarding the workmanship and/or the suitability of a specific energy saving product that is eligible for a
rebate from FPL, the Customer must seek redress from the independent contractor it selected and hired to perform the work. F PL is not
responsible for any of this work.
Waiver: In consideration of the rebate from FPL, Customer agrees to fully release FPL, its agents, affiliates, insurers, and employee s,
from any and all claims, damages, liabilities, rights & remedies, whether known or unknown, both at law and in equity, that C ustomer
has against FPL, that relates to the improvement upon which the Customer seeks the rebate from FPL .

X___________________________________________________________ X________________________________________
Customer Acceptance of Installation and terms herein Date      Print Name
My signature (Customer) and acceptance of the FPL Rebate indicates that the below described energy saving measure has been fu lly installed
to my satisfaction and that I understand and agree to the above terms including the Disclaimer of Warranties and Waiver.




3 - 6 p m ; s tr ic tly en fo r c ed                                                       En ter p r o -r ated h o u r s o f o p er atio n   (h o u r / year )

T8 lamps/electronic ballasts-all lengths & ballast type                                    T5HO's replacing HID's                                                            put hours/year here
 # Lamp per                                                                                 # Lamp/               No. of
   Fixture               No. of Fixtures         $/lamp    Line Subtotal                    Fixture              Fixtures            $/lamp Line subtotal                          Total
         1                             0         $0.65          $0.00                             1                   0               $2.00             $0.00                      $0.00
         2                             0         $0.65          $0.00                             2                   0               $2.00             $0.00                      $0.00
         3                             0         $0.65          $0.00                             3                   0               $2.00             $0.00                      $0.00
         4                             0         $0.65          $0.00                             4                   0               $2.00             $0.00                      $0.00
         5                             0         $0.65          $0.00                             5                   0               $2.00             $0.00                      $0.00
         6                             0         $0.65          $0.00                             6                   0               $2.00             $0.00                      $0.00
         7                             0         $0.65          $0.00                             7                   0               $2.00             $0.00                      $0.00
         8                             0         $0.65          $0.00                             8                   0               $2.00             $0.00                      $0.00

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ATTACHMENTS FOR FIXTURE COUNT PREFERRED                 Sub- Total linear fluorescent   $0.00




                                          Page 2 of 7
  MH lamp                                                                                     CMH lamp                No. of
  wattage                No. of Fixtures       $/lamp       Line Subtotal                      wattage               Fixtures        $/lamp Line subtotal                       Total
 276 to 400                    0                $4.00            $0.00                       20 w to 39                  0            $1.50           $0.00                     $0.00
 100 to 275                    0                $3.00            $0.00                       40 w to 60                  0            $2.50           $0.00                     $0.00
                                                                                             61 w to 100                 0            $4.00           $0.00                     $0.00

ATTACHMENTS FOR FIXTURE COUNT PREFERRED                                               Sub-Total metal halide pulse start and ceramic metal                                      $0.00
                                                                                 Circuited
  CFL lamp                                                                        Current           size in       No. CCL @
   wattage               No. of Fixtures       $/lamp       Line Subtotal         Limiter           amps          amperage           $/amp       Line subtotal                  Total
   5-13 w                       0         $0.00$2.00
                                                   ABC co.      30          0       $13.32      $0.00                                                                           $0.00
  14-26 w                       0         $0.00$5.00                        0       $13.32      $0.00                                                                           $0.00
   27-39w                       0         $0.00$8.00                        0       $13.32      $0.00                                                                           $0.00
   40-75w                       0         $0.00$10.00                       0       $13.32      $0.00                                                                           $0.00
  76-100w                       0         $0.00$15.00                                                                                                                           $0.00
 over 100 w                     0         $0.00$20.00                                                                                                                           $0.00
     ATTACHMENTS FOR FIXTURE COUNT PREFERRED Sub-Total Compact Fluorescent and Circuited Current Limiters                                                                       $0.00


                                                                                 Induction             No. of Fixtures               $/lamp Line subtotal                       Total
                                                                                 100 - 300 w                     0                     $15.00         $0.00                     $0.00
                                                                                 over 300 w                      0                     $20.00         $0.00                     $0.00
                                                                                                                                                                                $0.00
                                                                                                                                                                                $0.00
                                                                                                                                                                                $0.00
                                                                                                                                                                                $0.00

                                                           ATTACHMENTS FOR FIXTURE COUNT PREFERRED                             Sub-Total for & Induction                        $0.00

High performance T8 lamps                                                                       Delamp with High performance T8 lamps

 # Lamp per                                                                     # Lamp per
   Fixture               No. of Fixtures       $/lamp       Line Subtotal         Fixture              No. of Fixtures              $/lamp       Line subtotal                  Total
        1                      0                $2.00            $0.00                 1                         0               $3.00   $0.00                                  $0.00
        2                      0                $2.00            $0.00                 2                         0               $3.00   $0.00                                  $0.00
        3                      0                $2.00            $0.00                 3                         0               $3.00   $0.00                                  $0.00
        4                      0                $2.00            $0.00                 4                         0               $3.00   $0.00                                  $0.00
                                         ATTACHMENTS FOR FIXTURE COUNT PREFERRED                              Sub-Total High performance T8 lamps                               $0.00

                                                               Total Incentive                                                                                              $0.00
                                           CFL's and CMH's must be hardwired, such as a permanent disk

                                   Only lamps in continuous use during peak hours qualify for an incentive


        Internal Order                                        GL account
               6110000402                                      5772600                          X
                                                                                                Post-Approval or Post Inspection                           SLID / Date


Rem ar k s :




                    Note: kW reductions stated above are only for the purposes of FPL's Business Efficient Lighting program. Actual demand, energy, and electric cost savings
                        may vary. All kW Reduction and Incentive Amounts will be finalized on the actual installed equipment and will not be confirmed until post-approval.




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